Individual
MISS LISA RENEE' KERCHENFAUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
200 MICHIGAN AVE W, SUITE 200, BATTLE CREEK, MI 49017-3607
(269) 441-9306
Mailing address
200 MICHIGAN AVE W, SUITE 200, BATTLE CREEK, MI 49017-3607
(269) 441-9306
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202002425
MI
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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